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Dietary and socio-economic factors associated with overweight and obesity in a southern French population

Published online by Cambridge University Press:  02 January 2007

J Scali ,
S Siari ,
P Grosclaude  and
M Gerber
J Scali
Affiliation:
Groupe d'Epidémiologie Métabolique, Centre de Recherche en Cancérologie, INSERM-CRLC, F-34298 Montpellier Cedex 5, France
S Siari
Affiliation:
Groupe d'Epidémiologie Métabolique, Centre de Recherche en Cancérologie, INSERM-CRLC, F-34298 Montpellier Cedex 5, France
P Grosclaude
Affiliation:
Registre des Tumeurs du Tarn, Albi, Tarn, France
M Gerber*
Affiliation:
Groupe d'Epidémiologie Métabolique, Centre de Recherche en Cancérologie, INSERM-CRLC, F-34298 Montpellier Cedex 5, France
*
*Corresponding author: Email marietger@valdorel.fnclcc.fr
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Abstract

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Objective:

To investigate the socio-economic and dietary factors associated with overweight and obesity, respectively, in southern France.

Design:

Cross-sectional analysis of socio-economic, lifestyle and nutritional characteristics of a representative population sample. A questionnaire elicited information on anthropometric measurements, socio-economic factors, physical activity, tobacco use, and alcohol and food intakes. Non-parametric tests, multiple linear regression models and correspondence factorial analysis (CFA) were used to estimate the association of the various factors with overweight and obesity.

Setting:

French Southwest and Mediterranean areas.

Subjects:

In total, 1169 subjects (578 women and 552 men), aged 30–77 years, were recruited at random.

Results:

Overweight and obesity were associated with age and education in both genders, reproductive factors in women and tobacco use in men. A few dietary factors were identified (high energy intake and low intake of carbohydrates), but all these variables explained little of the variation (18.5% in women and 14.6% in men). The CFA further investigated the association of lifestyle and nutritional factors, giving more weight to nutritional behaviour for overweight men and women. Factors for obesity differed from those for overweight by being different in men and women, possibly related to psychological behaviour, and there were fewer of them, suggesting an insufficient coverage by the usual questionnaires.

Conclusions:

Overweight and obesity appear as two different entities. Energy imbalance induced by various lifestyle factors plays a major role in the development of overweight, whereas obesity represents a more complex entity where psychological and genetic factors that are difficult to assess may be more important. General nutritional guidelines appear more adapted to the prevention of overweight than to that of obesity, and individual counselling to the prevention of obesity.

Keywords

OverweightObesitySocio-economic factorsDietary factorsLifestyle factorsCorrespondence factorial analysis
Type
Research Article
Information
Public Health Nutrition , Volume 7 , Issue 4 , June 2004 , pp. 513 - 522
Copyright
Copyright © The Authors 2004

References

1World Health Organization (WHO). Prevention and Management of the Global Epidemic of Obesity Report of the WHO Consultation on Obesity. Report of the WHO Consultation on Obesity. Geneva: WHO, 1998.Google Scholar
2Beer-Bost, S, Morabia, A, Hercberg, S, Vitek, O, Bernstein, MS, Galan, P, et al. Obesity and other health determinants across Europe: The EURALIM Project. Journal of Epidemiology and Community Health 2000 54: 424–30.CrossRefGoogle Scholar
3Molarius, A, Seidell, JC, Sans, S, Tuomilehto, J, Kuulasmaa, K. Varying sensitivity of waist action levels to identify subjects with overweight or obesity in 19 populations of the WHO MONICA Project. Journal of Clinical Epidemiology. 1999; 52: 1213–24.CrossRefGoogle ScholarPubMed
4Kürzinger, ML, Salem, G, Rican, S, Rey, J-L. Disparités géographiques du surpoids et de l'obésité chez les jeunes hommes en France: 1987–1996. Cahier de Nutrition et de Drététique. 2002; 37: 110–7.Google Scholar
5Gerber, M. Obésité, l'épidémie. La Recherche. 2000; 332: 112–3.Google Scholar
6Seidell, JC. Time trends in obesity: an epidemiological perspective. Hormone and Metabolic Research. 1997; 29: 155–8.CrossRefGoogle ScholarPubMed
7Riboli, E, Decloître, F, Collet-Ribbing, C, eds. Alimentation et cancer. Evaluaton des données scientifiques. Paris: Tec & Doc Lavoisier, 1996.Google Scholar
8Gerber, M, Scali, J, Avallone, MH, Teisson, C. MEDHEA: a nutritional survey in Mediterranean countries. First results in Département de l'Hérault, France. Reproduction, Nutrition, Development. 1997; 7: 345–6.CrossRefGoogle Scholar
9Gerber, M, Siari, S, Michaud, A, Scali, J. Alimentation méditerranéenne et santé. MEDHEA, les résultats de l'Hérault. Actualités en Diététique. 1999; 35: 1391–6.Google Scholar
10Gerber, M, Scali, J, Michaud, A, Durand, M, Astre, C, Dallongeville, J, et al. Profiles of a healthful diet and its relationship to biomarkers in a population sample from Mediterranean southern France. Journal of the American Dietetic Association. 2000; 100: 1164–71.CrossRefGoogle Scholar
11Scali, J, Richard, A, Gerber, M. Diet profiles in a population sample from Mediterranean southern France. Public Health Nutrition. 2001; 4: 173–82.CrossRefGoogle Scholar
12Ainsworth, BE, Haskell, WL, Leon, AS, Jacobs, DR Jr, Montoye, HJ, Sallis, JF, et al. Compendium of physical activities: classification of energy costs of human physical activities. Medicine and Science in Sports and Exercise. 1993; 25: 71–80.CrossRefGoogle ScholarPubMed
13Bonifacj, C, Gerber, M, Scali, J, Daurès, JP. Comparison of dietary assessment methods in a Southern French population: use of weighed records, estimated-diet records and a food-frequency questionnaire. European Journal of Clinical Nutrition. 1997; 51: 217–31.CrossRefGoogle Scholar
14Gerber, M, Romon, M, Scali, J, Dallongeville, J, Astre, C. Erythrocyte fatty acids as markers of dietary fatty acids and relevant food intake. European Journal of Clinical Nutrition. 1998; 52: S62.Google Scholar
15Daurès, JP, Gerber, M, Scali, J, Astre, C, Bonifacj, C, Kaaks, R. Validation of a food-frequency questionnaire using multiple-day records and biochemical markers: application of the triads method. Journal of Epidemiology and Biostatistics. 2000; 5: 109–15.Google ScholarPubMed
16Ford, ES, Merritt, RK, Heath, GW, Powell, KE, Washburn, RA, Kriska, A. Physical activity behaviors in lower and higher socio-economic status populations. American Journal of Epidemiology. 1991; 133: 1246–56.CrossRefGoogle Scholar
17Caspersen, CJ, Bloemberg, BPM, Saris, WHM. The prevalence of selected physical activities and their relation with coronary heart disease risk factors in elderly men: the Zutphen study. American Journal of Epidemiology. 1991; 133: 1078–92.CrossRefGoogle ScholarPubMed
18Wannmethee, A, Shaper, AG, Macfarlane, PW. Heart rate, physical activity, and mortality from cancer and other noncardiovascular diseases. American Journal of Epidemiology. 1993; 137: 735–48.CrossRefGoogle Scholar
19Falkner, KL, Trevisan, M, McCann, SE. Reliability of recall of physical activity in the distant past. American Journal of Epidemiology. 1999; 150: 195–205.CrossRefGoogle ScholarPubMed
20Garcia-Acosta, S, Clavel-Chapelon, F. Gestion des données manquantes, aberrantes et incohérentes dans l'étude de cohorte E3N. Revue d'Epidemiologie et de Santé Publique. 1999; 47: 515–23.Google ScholarPubMed
21Martinez, JA, Kearney, JM, Kafatos, A, Paquet, S, Martinez-Gonzalez, MA. Variables independently associated with self-reported obesity in the European Union. Public Health Nutrition. 1999; 2: 125–33.CrossRefGoogle ScholarPubMed
22Marques-Vidal, P, Ruidavets, JB, Cambou, JP, Ferrieres, J. Trends in overweight and obesity in middle-aged subjects from Southwestern France. International Journal of Obesity and Related Metabolic Disorders. 2002; 26: 732–4.CrossRefGoogle ScholarPubMed
23AI-Isa, AN. Dietary and socio-economic factors associated with obesity among Kuwaiti college men. British Journal of Nutrition. 1999; 82: 369–74.Google Scholar
24Wardle, J, Waller, J, Jarvis, MJ. Sex differences in the association of socioeconomic status with obesity. American Journal of Public Health. 2002; 92: 1299–304.CrossRefGoogle ScholarPubMed
25Gonzalez, CA, Pera, G, Quiros, JR, Lasheras, C, Tormo, MJ, Rodriguez, M. Types of fat intake and body mass index in a Mediterranean country. Public Health Nutrition. 2000; 3: 329–36.CrossRefGoogle Scholar
26Willett, WC. Dietary fat plays a major role in obesity: no. Obesity Reviews. 2002; 3: 59–68.CrossRefGoogle Scholar
27Willett, WC. Dietary fat and obesity: an unconvincing relation. American Journal of Clinical Nutrition. 1998; 68: 1149–50.CrossRefGoogle ScholarPubMed
28Knopp, RH, Walden, CE, Retzlaff, BM, McCann, BS, Dowdy, AA, Albers, JJ. Long-term cholesterol-lowering effects of 4 fat-restricted diets in hypercholesterolemic and combined hyperlipidemic men. The Dietary Alternatives Study. Journal of the American Medical Association. 1997; 278: 1509–15.CrossRefGoogle ScholarPubMed
29Bray, GA, Popkin, BM. Dietary fat intake does affect obesity. American Journal of Clinical Nutrition. 1998; 68: 1157–73.CrossRefGoogle ScholarPubMed
30Goris, AHC, Westerterp-Plantenga, MS, Westerterp, KR. Undereating and underrecording of habitual food intake in obese men: selective underreporting of fat intake. American Journal of Clinical Nutrition. 2000; 71: 130–4.CrossRefGoogle ScholarPubMed
31Braam, LAJLM, Ocké, MC, Bueno-de-Mesquita, HB, Seidell, JC. Determinants of obesity-related underreporting of energy intake. American Journal of Epidemiology. 1998; 147: 1081–6.CrossRefGoogle ScholarPubMed
32Stoll, BA. Western diet, early puberty, and breast cancer risk. Breast Cancer Research and Treatment. 1998; 49: 187–93.CrossRefGoogle ScholarPubMed
33Berkey, CS, Gardner, J, Frazier, AL, Colditz, GA. Relation of childhood diet and body size to menarche and adolescent growth in girls. American Journal of Epidemiology. 2000; 152: 446–52.CrossRefGoogle ScholarPubMed
34Clavel-Chapelon, F, the E3N–EPIC Group. Evolution of age at menarche and at onset of regular cycling in a large cohort of French women. Human Reproduction. 2002; 1: 101–5.Google Scholar
35Martinez-Gonzalez, MA, Martinez, JA, Hu, FB, Gibney, MJ, Kearney, J. Physical inactivity, sedentarism, lifestyle and obesity in the European Union. International Journal of Obesity. 1999; 2: 1192–201.CrossRefGoogle Scholar
36Dixon, JB, Dixon, ME, O'Brien, PE. Alcohol consumption in the severely obese: relationship with the metabolic syndrome. Obesity Research. 2002; 10: 245–52.CrossRefGoogle ScholarPubMed